Organization
PARK RIDGE ANESTHESIOLOGY SERVICES, PA
Active
Organization
PARK RIDGE ANESTHESIOLOGY SERVICES, PA
Active
Other names
ParkRidge Anesthesiology Services, PA
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY COSTON DO (HEAD OF GROUP)
(828) 329-5550
Entity
Organization
Contact information
Practice address
100 HOSPITAL DR, ANESTHESIA DEPT, HENDERSONVILLE, NC 28792-5272
(828) 329-5550
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
10/06/2010
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